Clifford, Tara Virginia

Clifford, Tara Virginia is an individual health care provider with primary practice located at 1350 Campus Pkwy Ste 101 , Wall Township NJ 07753-6821. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Clifford, Tara Virginia can be contacted via phone (732) 924-5589.

Contact Information

Primary practice address
1350 Campus Pkwy Ste 101 Wall Township NJ 07753-6821
Phone: (732) 924-5589
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00333800 New Jersey
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00963400 New Jersey

Profile Details

NPI number 1841839412
LBN Legal business name Clifford, Tara Virginia
Credentials MA, LPC, LCADC, CCS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2019
Last updated Dec 28th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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